National Provider Identifier [NPI]: |
1457349771 |
Last Name Of The Provider |
KIM |
First Name Of The Provider |
HYUN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2312 N NEVADA AVE STE 400 |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
809075320 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
155 |
Number Of Services |
73764 |
Number Of Medicare Beneficiaries |
942 |
Total Submitted Charge Amount |
4584875 |
Total Medicare Allowed Amount |
1322336.27 |
Total Medicare Payment Amount |
1017057.43 |
Total Medicare Standardized Payment Amount |
1017648.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
75 |
Number Of Drug Services |
67625 |
Number Of Medicare Beneficiaries With Drug Services |
357 |
Total Drug Submitted ChargeAmount |
3569403 |
Total Drug Medicare AllowedAmount |
995360.62 |
Total Drug Medicare PaymentAmount |
766630.67 |
Total Drug Medicare Standardized Payment Amount |
766630.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
6139 |
Number Of Medicare Beneficiaries With Medical Services |
942 |
Total Medical Submitted Charge Amount |
1015472 |
Total Medical Medicare Allowed Amount |
326975.65 |
Total Medical Medicare Payment Amount |
250426.76 |
Total Medical Medicare Standardized Payment Amount |
251017.41 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
451 |
Number Of Beneficiaries Age 75 to 84 |
326 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
639 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
816 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
859 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7303 |